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Atallah O, Almealawy YF, Awuah WA, Conti A, Chaurasia B. Is simultaneous occurrence of meningioma and glioblastoma a mere coincidence? Clin Neurol Neurosurg 2024; 236:108099. [PMID: 38215500 DOI: 10.1016/j.clineuro.2023.108099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 12/12/2023] [Accepted: 12/20/2023] [Indexed: 01/14/2024]
Abstract
BACKGROUND It is extremely unusual for multiple tumors to arise from different cell types and occur at the same time inside the brain. It is still unknown whether or not the coexistence of meningioma and glioblastoma is connected in any way or if their simultaneous appearance is merely a coincidence. OBJECTIVE We conduct a comprehensive literature review on cases of concurrent meningioma and glioblastoma occurrence to elucidate the underlying concepts that may constitute this coexistence. METHODS We searched for articles on the topic of glioblastoma coexisting with meningioma in Google Scholar, PubMed, and Scopus. First, the initial literature searches were conducted for study selection and the data collection processes. After evaluating the title and abstract, the papers were selected. RESULTS We analyzed 21 studies describing 23 patients who had both glioblastoma and meningioma. There were ten male patients (47.6 %) and thirteen female patients (61.9 %). The mean age of patients at diagnosis was 61 years old (the range 30 to 86). In 17 cases, both tumors were in the same hemisphere (80.9 %). In 5 cases, they were in the other hemisphere (23.8 %), and in one case, the glioblastoma was in the left hemisphere and the olfactory meningioma was In 5 cases, they were in the other hemisphere (23.8 %), and in one case, the glioblastoma was in the left hemisphere and the olfactory meningioma was in the anterior cranial fossa. In 61.9 % of cases, headache was the predominant symptom. CONCLUSION Understanding the unique challenges posed by the coexistence of glioblastoma and meningioma is crucial for developing effective treatment strategies. Further investigation into the underlying molecular mechanisms and genetic factors involved in this rare occurrence could pave the way for personalized therapies tailored to each patient's specific needs.
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Affiliation(s)
- Oday Atallah
- Departemnt of Neurosurgery, Hannover Medical School, Hannover, Germany.
| | - Yasser F Almealawy
- Department of Neurosurgery, University of Kufa, Kufa, Iraq; Department of Neurosurgery,Global Neurosurgical Alliance, Tucson, AZ, USA.
| | | | - Alfredo Conti
- Department of Neurosurgery, IRCCS Istituto delle Scienze Neurologiche di Bologna Alma Mater Studiorum Universit_a di Bologna, Via Altura 3, 40123 Bologna, Italy
| | - Bipin Chaurasia
- Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
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2
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Singhal I, Coss D, Mueller W, Straza M, Krucoff MO, Santos-Pinheiro F. Case report: Two unique cases of co-existing primary brain tumors of glial origin in opposite hemispheres. Front Oncol 2022; 12:1018840. [PMID: 36568179 PMCID: PMC9771729 DOI: 10.3389/fonc.2022.1018840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 10/24/2022] [Indexed: 12/12/2022] Open
Abstract
Background Primary CNS tumors are rare. Coexistence of two glial tumors of different histological origins in the same patient is even rarer. Here we describe two unique cases of coexisting distinct glial tumors in opposite hemispheres. Cases Patient 1 is a 38-year-old male who presented with a seizure in February/2016. MRI showed a left parietal and a right frontal infiltrating nonenhancing lesions. Both lesions were resected revealing an oligodendroglioma WHO grade-2 and an astrocytoma WHO grade-2. Patient 2 is a 34-year-old male who presented with a seizure in November/2021. MRI showed a left frontal and a right mesial temporal lobe infiltrating nonenhancing lesions. Both lesions were resected revealing an oligodendroglioma WHO grade-2 and a diffuse low-grade glioma, MAPK pathway-altered (BRAF V600E-mutant). Patient 1 underwent adjuvant treatment. Both patients are without recurrence to date. Discussion Two histologically distinct glial tumors may coexist, especially when they are non-contiguous. Pathological confirmation of each lesion is imperative for appropriate management. We highlight the different management of gliomas based on the new CNS WHO 2021 classification compared to its 2016 version, based on NCCN guidelines. Although more molecular markers are being incorporated into glioma classification, their clinical impact of it is yet to be determined.
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Affiliation(s)
- Ishan Singhal
- Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Dylan Coss
- Department of Pathology, Medical College of Wisconsin & Froedtert Hospital, Milwaukee, WI, United States
| | - Wade Mueller
- Department of Neurosurgery, Medical College of Wisconsin & Froedtert Hospital, Milwaukee, WI, United States
| | - Michael Straza
- Department of Radiation Oncology, Medical College of Wisconsin & Froedtert Hospital, Milwaukee, WI, United States
| | - Max Ostrinsky Krucoff
- Department of Neurosurgery, Medical College of Wisconsin & Froedtert Hospital, Milwaukee, WI, United States,Department of Biomedical Engineering, Marquette University & Medical College of Wisconsin Graduate School, Milwaukee, WI, United States
| | - Fernando Santos-Pinheiro
- Department of Neurology, Medical College of Wisconsin & Froedtert Hospital, Milwaukee, WI, United States,*Correspondence: Fernando Santos-Pinheiro,
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3
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Lin MS, Lee CH, Chen SY, Shen CC. Collision brain tumor with atypical meningioma and glioblastoma: Case report. Int J Surg Case Rep 2022; 94:107137. [PMID: 35658305 PMCID: PMC9097683 DOI: 10.1016/j.ijscr.2022.107137] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/12/2022] [Accepted: 04/29/2022] [Indexed: 11/19/2022] Open
Affiliation(s)
- Mao-Shih Lin
- Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung City 40705, Taiwan.
| | - Chung-Hsin Lee
- Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung City 40705, Taiwan
| | - Se-Yi Chen
- Department of Neurosurgery, Chung-Shan Medical University Hospital, No. 110, Sec. 1, Jianguo N.Rd, Taichung City 40201, Taiwan
| | - Chiung-Chyi Shen
- Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung City 40705, Taiwan.
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Chamberlin K, Chamberlin G, Saunders K, Khagi S. Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma. CNS Oncol 2021; 10:CNS70. [PMID: 34015961 PMCID: PMC8162195 DOI: 10.2217/cns-2020-0029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Primary intracranial collision tumors are rare in patients without predisposing factors. We report such a case in a 42-year-old female who presented with headaches and altered mental status. Imaging revealed a single heterogeneous, rim-enhancing lesion in the left parieto-occipital periventricular region, involving the corpus callosum. Stereotactic biopsy demonstrated glioblastoma. Subsequent tumor resection showed histologic evidence of glioblastoma and meningioma. Next-generation sequencing was performed on both tumor components. The glioblastoma exhibited a CDKN2A homozygous deletion and novel missense mutations in TAF1L and CSMD3, while no definitive genetic alterations were identified in the meningioma. Next-generation sequencing may yield insight into molecular drivers of intracranial collision tumors and aid in identifying future therapeutic targets. Next-generation sequencing (NGS) reveals novel mutations in a collision tumor of GBM and meningioma. NGS has the potential to yield insight into molecular drivers of intracranial tumors and identify therapeutic targets.
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Affiliation(s)
- Kelly Chamberlin
- Department of Neurosurgery, UNC Hospitals, Chapel Hill, NC 27514, USA
| | - Gregory Chamberlin
- Department of Pathology & Laboratory Medicine, UNC Hospitals, Chapel Hill, NC 27514, USA
| | - Katherine Saunders
- Department of Pathology & Laboratory Medicine, UNC Hospitals, Chapel Hill, NC 27514, USA
| | - Simon Khagi
- Department of Neurosurgery, UNC Hospitals, Chapel Hill, NC 27514, USA.,Department of Medicine, Division of Medical Oncology, UNC Hospitals, Chapel Hill, NC 27514, USA
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5
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Tunthanathip T, Kanjanapradit K, Ratanalert S, Phuenpathom N, Oearsakul T, Kaewborisutsakul A. Multiple, Primary Brain Tumors with Diverse Origins and Different Localizations: Case Series and Review of the Literature. J Neurosci Rural Pract 2019; 9:593-607. [PMID: 30271057 PMCID: PMC6126305 DOI: 10.4103/jnrp.jnrp_82_18] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Background: Multiple, primary brain tumors with different histological types occurring in the same patient are extremely rare. Several hypotheses have been proposed, and the pathophysiology of coexisting tumors has long been debated; however, due to low incidence, standard practices for this scenario are still inconclusive. Case Description: The authors describe 6 cases of coexisting tumors. By conducting a literature research focused on the computed tomography (CT) era and patients without prior radiation or phakomatosis. Sixty-five such reported cases were identified. In addition, the authors summarize their experience in 6 patients including histopathological features, chronological presentations, outcomes, mortality, and management from their series as well as from previous cases from the reported literature. Conclusion: The coexistence of multiple, primary brain tumors is an interesting condition. Surgical management remains the major treatment; malignant histology has a poor prognostic factor.
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Affiliation(s)
- Thara Tunthanathip
- Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Kanet Kanjanapradit
- Department of Pathology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Sanguansin Ratanalert
- Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Nakornchai Phuenpathom
- Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Thakul Oearsakul
- Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Anukoon Kaewborisutsakul
- Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
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6
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Truong VT, Tran DDT, Dang CT. Collision Occurrence of Meningioma and Astrocytoma: A Case Report and Literature Review. Asian J Neurosurg 2019; 14:938-942. [PMID: 31497134 PMCID: PMC6703018 DOI: 10.4103/ajns.ajns_97_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
A case of collision tumors occurring between two distinct primary brain tumors is reported. A 61-year-old female without history of radiotherapy or phakomatosis presented with progressive ly increasing headache and left hemiparesis. Investigation revealed a meningioma and a Grade II astrocytoma in the right frontal lobe. Simultaneous development of a meningioma and a low-grade glioma at adjacent sites is extremely rare. This is the third case reported in the literature. Some hypotheses are proposed to explain this phenomenon but most likely represent a coincidental event.
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Affiliation(s)
- Van Tri Truong
- Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.,Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada
| | - Duc Duy Tri Tran
- Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.,Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
| | - Cong Thuan Dang
- Department of Pathology, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam
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7
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Amirjamshidi A, Amiri RS, Alimohamadi M, Abbassioun K. Concomitant intraventricular colloid cyst and low-grade astrocytoma of the brainstem in a 16-year-old boy. J Neurosurg Pediatr 2011; 8:342-5. [PMID: 21961538 DOI: 10.3171/2011.7.peds11179] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Multiple primary brain tumors are commonly observed in patients with a history of brain radiation therapy or neurofibromatosis. The concomitant presence of 2 different types of brain tumors in a single location or chamber is a very rare clinical presentation in the absence of such a predisposing factor. The authors report on the case of a 16-year-old boy presenting with different types of brain tumors in 2 ventricular chambers concomitantly. This boy had a medium-sized colloid cyst of the third ventricle and a large fibrillary astrocytoma fungating from the brainstem into the floor of the fourth ventricle. The lesions were successfully excised in 2 separate surgeries. Radiotherapy was used as the adjuvant mode of therapy. There has been no sign of tumor recurrence after 16 months of follow-up. Clinical awareness and recognition of such a combination of tumors is important because they will dictate special treatment strategies depending on the individual biological aggressiveness of each tumor.
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8
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Karami KJ, Poulik J, Rabah R, Krass J, Sood S. Simultaneous choroid plexus carcinoma and pilocytic astrocytoma in a pediatric patient. J Neurosurg Pediatr 2010; 5:104-12. [PMID: 20043745 DOI: 10.3171/2009.8.peds09117] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Simultaneous primary brain tumors in pediatric patients without prior chemotherapy or radiotherapy, phacomatosis, or known familial history are a rare occurrence. The authors report the case of a 4-year-old boy with simultaneous choroid plexus carcinoma and pilocytic astrocytoma with features of oligodendroglioma. Magnetic resonance imaging studies revealed diffuse heterogeneously enhancing left intraventricular and posterior fossa tumors initially believed most consistent with multicentric choroid plexus carcinomas. A multiple staged resection was carried out for each tumor and gross-total resection was achieved. Upon gross inspection intraoperatively as well as postoperative histological analysis, 2 distinct simultaneous tumors were identified: choroid plexus carcinoma and pilocytic astrocytoma. To the authors' knowledge this is the first case report published identifying 2 distinct tumor types with similar radiological appearances in a pediatric patient with no prior history of radiotherapy, chemotherapy, or phacomatosis.
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Affiliation(s)
- Kristophe J Karami
- Department of Neurosurgery, Providence Hospital and Medical Center, Michigan State University, Southfield, Michigan 48075, USA.
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Khalatbari M, Borghei-Razavi H, Shayanfar N, Behzadi AH, Sepehrnia A. Collision tumor of meningioma and malignant astrocytoma. Pediatr Neurosurg 2010; 46:357-61. [PMID: 21389747 DOI: 10.1159/000321596] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2010] [Accepted: 09/28/2010] [Indexed: 11/19/2022]
Abstract
The authors report a 12-year-old boy who was presented with headache, nausea, vomiting and seizure. His magnetic resonance imaging showed 2 adjacent tumors in the region of the left ventricular trigone. The pathology of tumors reported collision tumors composed of meningioma and malignant astrocytoma.
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Affiliation(s)
- Mahmoudreza Khalatbari
- Department of Neurosurgery, Clemens Hospital, Academic Hospital of Münster University, Münster, Germany
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10
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Espino L, Suarez M, Santamarina G, Vila M, Miño N, Lopez-Peña M. First report of the simultaneous occurrence of choroid plexus papilloma and meningioma in a dog. Acta Vet Hung 2009; 57:389-97. [PMID: 19635711 DOI: 10.1556/avet.57.2009.3.5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A 7-year-old spayed female English Cocker Spaniel was examined because of a 1-week history of lethargy, stumbling over objects and circling, and the presence of two tonic-clonic generalised seizures two days before presentation. The neurological signs suggested a lesion involving the right forebrain. Computed tomography revealed the presence of two intracranial masses, one located inside the right lateral ventricle and the other located in the right frontal lobe attached to the falx cerebri. Because of the poor prognosis, the owner refused to continue with the therapy and the dog was euthanised. On postmortem examination one mass was diagnosed histologically as a meningioma and the other as a papilloma of the choroid plexus. Information in the veterinary literature on multiple malignancies affecting the central nervous system is very limited. To the best of the authors' knowledge, the association of meningioma and choroid plexus papilloma has never been reported either in the human or in the veterinary medical literature.
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Affiliation(s)
- Luciano Espino
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
| | - Maruska Suarez
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
| | - German Santamarina
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
| | - Mónica Vila
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
| | - Natalia Miño
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
| | - Mónica Lopez-Peña
- 1 University of Santiago de Compostela Department of Veterinary Clinical Sciences, Rof Codina Veterinary Teaching Hospital, Faculty of Veterinary Medicine 22702 Lugo Spain
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